Does the Warren shunt correct hypersplenism?
It has been suggested that patients with bleeding varices and hypersplenism will show significant improvements in leucocyte and platelet counts following distal splenorenal (Warren) shunt surgery. Whilst this may be true in the short term, this report shows that in the long term hypersplenism is not relieved, whereas the lienorenal shunt is associated with a return of normal haematological values.
Lodge
J P
JP
University Department of Surgery, St James's University Hospital, Leeds, U.K.
Mavor
A I
AI
Giles
G R
GR
D004932:Esophageal and Gastric Varices / Q000601:surgery; D006471:Gastrointestinal Hemorrhage / Q000601:surgery; D006801:Humans; D006971:Hypersplenism / Q000175:diagnosis / Q000601:surgery*; D006975:Hypertension, Portal / Q000150:complications; D011170:Portasystemic Shunt, Surgical; D012189:Retrospective Studies; D013156:Splenectomy; D013164:Splenorenal Shunt, Surgical